| NPI | 1912373952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID POUGATSCH CEO 818-922-2244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E4977) |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2023-08-10 |